Safety Report: Multy Medical Skilled Nursing Facility

Rio Piedras, Puerto Rico · Based on official CMS inspection records as of October 1, 2026.

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How to read this report. Every nursing home receives some citations. One citation does not mean a facility is unsafe. Look at how serious the findings were, whether the same problems keep coming back, and whether things are getting better or worse. Learn how inspections work.

Official ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality measuresNo rating
Long-stay qualityNo rating
Short-stay qualityNo rating

Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.

Stars are calculated by CMS, not by us. We do not create our own safety score.

Serious documented violations

0Immediate jeopardy citations (severity J–L)
0Actual harm citations (severity G–I)
5Requirements cited on more than one inspection

No citations at the “actual harm” or “immediate jeopardy” level in the last three inspection cycles.

Citations by topic

8Abuse, neglect & exploitation
3Infection control
3Medications & pharmacy
0Accidents & supervision

Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.

Is it getting better or worse?

Fewer citations in the most recent cycle (8) than in the cycle before (69).

Two cycles ago
none serious
Prior cycle
none serious
Most recent cycle
none serious

An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.

Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.

Repeat findings

These requirements were cited on more than one inspection date in the last three cycles.

RequirementTimes citedInspection dates
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (F921)2March 26, 2026; September 25, 2024
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (F868)2March 26, 2026; September 25, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F851)2March 26, 2026; September 25, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F584)2March 26, 2026; September 25, 2024
Post nurse staffing information every day. (F732)2March 26, 2026; September 25, 2024

Fines and enforcement

DateTypeAmount / length
May 19, 2026Fine$41,321

Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.

Complete inspection history

77 citations across 2 inspection dates.

March 26, 2026 — 8 citations
F
Put firmly secured handrails on each side of hallways.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F924 · corrected May 12, 2026
F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F921 · corrected May 12, 2026
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F868 · corrected May 12, 2026
F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F867 · corrected May 12, 2026
F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, but potential for more than minimal harm · Widespread · Administration Deficiencies · F851 · corrected May 12, 2026
F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
No actual harm, but potential for more than minimal harm · Widespread · Pharmacy Service Deficiencies · F761 · corrected May 12, 2026
D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, but potential for more than minimal harm · Isolated · Resident Rights Deficiencies · F584 · corrected May 12, 2026
C
Post nurse staffing information every day.
No actual harm, potential for minimal harm · Widespread · Nursing and Physician Services Deficiencies · F732 · corrected May 12, 2026
September 25, 2024 — 69 citations
F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, but potential for more than minimal harm · Widespread · Environmental Deficiencies · F921 · corrected November 9, 2024
F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, but potential for more than minimal harm · Widespread · Infection Control Deficiencies · F887 · corrected September 30, 2024
F
Provide and implement an infection prevention and control program.
No actual harm, but potential for more than minimal harm · Widespread · Infection Control Deficiencies · F880 · corrected October 20, 2024
F
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
No actual harm, but potential for more than minimal harm · Widespread · Nursing and Physician Services Deficiencies · F841 · corrected November 20, 2024
F
Dispose of garbage and refuse properly.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F814 · corrected September 30, 2024
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F812 · corrected October 1, 2024
F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F804 · corrected October 26, 2024
F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
No actual harm, but potential for more than minimal harm · Widespread · Nutrition and Dietary Deficiencies · F800 · corrected November 4, 2024
F
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, but potential for more than minimal harm · Widespread · Pharmacy Service Deficiencies · F756 · corrected October 29, 2024
F
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F741 · corrected September 30, 2024
F
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
No actual harm, but potential for more than minimal harm · Widespread · Quality of Life and Care Deficiencies · F740 · corrected September 30, 2024
F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, but potential for more than minimal harm · Widespread · Nursing and Physician Services Deficiencies · F727 · corrected November 20, 2024
F
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F626 · corrected September 30, 2024
F
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F625 · corrected September 30, 2024
F
Prepare residents for a safe transfer or discharge from the nursing home.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F624 · corrected September 30, 2024
F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F623 · corrected September 30, 2024
F
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F622 · corrected September 30, 2024
F
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F620 · corrected September 30, 2024
F
Respond appropriately to all alleged violations.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F610 · corrected September 30, 2024
F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F607 · corrected September 30, 2024
F
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F605 · corrected September 30, 2024
F
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F604 · corrected September 30, 2024
F
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F603 · corrected September 30, 2024
F
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F602 · corrected September 30, 2024
F
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
No actual harm, but potential for more than minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F600 · corrected September 30, 2024
F
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F586 · corrected September 30, 2024
F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F584 · corrected September 30, 2024
F
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F582 · corrected September 30, 2024
F
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F580 · corrected September 30, 2024
F
Provide information about how to apply for and use Medicare and Medicaid benefits.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F579 · corrected September 30, 2024
F
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F577 · corrected September 30, 2024
F
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F575 · corrected September 30, 2024
F
The resident has the right to receive notices in a format and a language he or she understands.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F574 · corrected September 30, 2024
F
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F573 · corrected September 30, 2024
F
Give residents a notice of rights, rules, services and charges.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F572 · corrected September 30, 2024
F
Honor the resident's right to manage his or her financial affairs.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F567 · corrected September 30, 2024
F
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F566 · corrected September 30, 2024
F
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F565 · corrected September 30, 2024
F
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F564 · corrected September 30, 2024
F
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F563 · corrected September 30, 2024
F
Provide immediate access to any resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F562 · corrected September 30, 2024
F
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F561 · corrected September 30, 2024
F
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F560 · corrected September 30, 2024
F
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F559 · corrected September 30, 2024
F
Reasonably accommodate the needs and preferences of each resident.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F558 · corrected September 30, 2024
F
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F554 · corrected September 30, 2024
F
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F553 · corrected September 30, 2024
F
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, but potential for more than minimal harm · Widespread · Resident Rights Deficiencies · F550 · corrected September 30, 2024
E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, but potential for more than minimal harm · Pattern · Infection Control Deficiencies · F883 · corrected October 25, 2024
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, but potential for more than minimal harm · Isolated · Resident Assessment and Care Planning Deficiencies · F655 · corrected September 25, 2024
D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, but potential for more than minimal harm · Isolated · Resident Rights Deficiencies · F578 · corrected October 3, 2024
C
Keep all essential equipment working safely.
No actual harm, potential for minimal harm · Widespread · Environmental Deficiencies · F908 · corrected September 25, 2024
C
Have a Compliance and Ethics Program.
No actual harm, potential for minimal harm · Widespread · Administration Deficiencies · F895 · corrected September 30, 2024
C
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for minimal harm · Widespread · Administration Deficiencies · F868 · corrected October 1, 2024
C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, potential for minimal harm · Widespread · Administration Deficiencies · F851 · corrected September 30, 2024
C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, potential for minimal harm · Widespread · Administration Deficiencies · F838 · corrected October 31, 2024
C
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, potential for minimal harm · Widespread · Nutrition and Dietary Deficiencies · F802 · corrected October 1, 2024
C
Provide routine and 24-hour emergency dental care for each resident.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F790 · corrected November 4, 2024
C
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for minimal harm · Widespread · Pharmacy Service Deficiencies · F757 · corrected October 29, 2024
C
Post nurse staffing information every day.
No actual harm, potential for minimal harm · Widespread · Nursing and Physician Services Deficiencies · F732 · corrected September 30, 2024
C
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F700 · corrected September 30, 2024
C
Provide care or services that was trauma informed and/or culturally competent.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F699 · corrected September 30, 2024
C
Provide safe, appropriate dialysis care/services for a resident who requires such services.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F698 · corrected September 30, 2024
C
Provide appropriate care/assistance for a resident with a prosthesis.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F696 · corrected September 30, 2024
C
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F695 · corrected November 14, 2024
C
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F691 · corrected September 30, 2024
C
Provide appropriate foot care.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F687 · corrected September 30, 2024
C
Assist a resident in gaining access to vision and hearing services.
No actual harm, potential for minimal harm · Widespread · Quality of Life and Care Deficiencies · F685 · corrected September 30, 2024
C
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for minimal harm · Widespread · Freedom from Abuse, Neglect, and Exploitation Deficiencies · F609 · corrected September 30, 2024

Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare

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